"The Massacre of the Tonsil": Tonsillectomies and Medical Malpractice in Mid-20th-Century Canada.

R Blake Brown
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Abstract

Tonsillectomy was one of the most common surgeries in Canada in the mid-twentieth century. Tonsils received blame for many health problems, and advocates of the tonsillectomy said it was an important form of preventative medicine. However, like all surgeries, the procedure came with dangers. Only a small percentage of patients - most of whom were children - suffered injuries or died, but the large number of tonsillectomies meant that a substantial number of people experienced adverse outcomes. Plaintiffs who sued for medical malpractice faced a tort law system that made it extremely difficult to secure compensation. So long as the procedure was carried out with an ordinary level of skill and care, no compensation was typically available. This paper shows how Canadian law facilitated the use of tonsillectomy, and, in doing so, highlights the need to consider the role of judge-made law in the history of medicine.

“扁桃体大屠杀”:20世纪中期加拿大的扁桃体切除和医疗事故。
扁桃体切除术是二十世纪中期加拿大最常见的手术之一。扁桃体被认为是许多健康问题的罪魁祸首,扁桃体切除术的支持者说,这是预防医学的一种重要形式。然而,像所有的手术一样,这个过程也有危险。只有一小部分患者——其中大多数是儿童——受伤或死亡,但大量扁桃体切除术意味着相当多的人经历了不良后果。因医疗事故提起诉讼的原告面临着一种侵权法制度,这种制度使得获得赔偿极其困难。只要手术是在普通水平的技术和护理下进行的,通常就得不到补偿。本文展示了加拿大法律如何促进扁桃体切除术的使用,并且,在这样做时,强调需要考虑法官制定的法律在医学史上的作用。
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